User : well i have been feeling very sick today i have nausea, ovary pain, and my urine is dark brown i dont have any idea what this can be?
Doctor : hello
Doctor : Dr. XXXXXXXX here.
User : Hi
Doctor : what other symptoms do you have besides these?
Doctor : when was your last menstrual period?
User : nothing else just that
User : it was on 04/23/2010
User : what might this be?
User : I also have HPV
User : Dr. XXXXXXXX are you there?
User : hello is any one thre
Doctor : when was HPV detected?
User : in october of 2008
Doctor : are drinking adequate water?
Doctor : are you on any treatment at present?
User : yes at least 2 bottles a day
User : no no treatment
Doctor : ok. it should be about 10-12 glasses per day or about 3 liters per day
User : ok
Doctor : do you have any vaginal itching or foul smelling discharge?
Doctor : is there burning or discomfort associated while passing urine?
User : no and no
Doctor : what is the usual menstrual cycle length? i mean to ask in how many days gap do you get your periods once?
User : every month on time
User : 28-30 days
Doctor : are you having your periods at present then?
User : no i am not
User : but i have my toobs tied
User : tubes tied
Doctor : you told me you had your last periods on 04/23/2010, and if you have a 28-30 day cycle then by now you should either get over with your periods for this month or have it now
Doctor : ok
Doctor : when did you get the tubes tied?
User : yes but i dont have it now
User : when i was 23
Doctor : is there any lower abdomen pain/discomfort associated?
Doctor : ok
User : yes
Doctor : i would recommend you to get a examination done, both physical and a urine test to look for any infection
Doctor : or the cause for having brown color urine
User : ok
User : but its not a tube pregnancy?
Doctor : tubal pregnancy would be accompanied with a lot of pain
Doctor : a urine pregnancy test will help to confirm it
Doctor : along with a pelvic ultrasound scan
User : ok thank you and the brown urine?
Doctor : the brown urine cause needs to be evaluated further
User : what might it be?
Doctor : it could result from abnormal bleeding, or food pigments, or infection or metabolic disorders
Doctor : all of which would require further special tests
Doctor : to confirm what is the exact cause
User : do i need to go to a hospital?
Doctor : you would need to report to your doctor
User : ok thank you
Doctor : thanks for consulting me
Doctor : bye for now